27. A Community-Based Approach to Changing Statewide Practice and Policy: Screening, Brief Intervention, and Referral to Treatment in Connecticut

2017 ◽  
Author(s):  
Bonnie McRee ◽  
Janice Vendetti ◽  
Katherine Robaina ◽  
Karen Steinberg Gallucci
Keyword(s):  
Brief Intervention ◽  
Community Based

A Community-Based Evaluation of Screening, Brief Intervention, and Referral to Treatment (SBIRT) for the Black Community

2017 ◽  
Vol 28 (3) ◽  
pp. 418-432
Author(s):  
Helena D. Green
Keyword(s):  
Black Community ◽  
Brief Intervention ◽  
Cultural Sensitivity ◽  
Service Providers ◽  
Urban Setting ◽  
Service Needs ◽  
Substance Use Prevention ◽  
Community Based ◽  
Black Populations ◽  
Underlying Mechanisms

Limited research evaluates substance use prevention and intervention strategies for cultural sensitivity, appropriateness of content, patient/provider interactions, and implementation for racial and ethnic minority populations. This study uses the Consolidated Framework for Implementation Research (CFIR) to examine a community-based evaluation of Screening, Brief Intervention, and Referral to Treatment (SBIRT) for implementation among the Black community in a small, urban setting. Data were gathered through four separate focus groups, one for service providers ( n = 7), one for community youth leaders ( n = 8), and two for community members ( n = 10). Findings suggest that a range of multi-level service needs and underlying mechanisms of implementation should be considered when administering SBIRT within community health settings serving Black populations. This community-involved evaluation of SBIRT responds to the call for the examination of implementation in specific settings, and suggests a need for further examinations of strategies that support engagement through SBIRT and other innovations.

SAFER brief community intervention: a primary suicide prevention strategy to improve firearm and medication storage behaviour

2020 ◽  
pp. injuryprev-2020-043902
Author(s):  
Jennifer Paige Stuber ◽  
Anne Massey ◽  
Morgan Meadows ◽  
Brett Bass ◽  
Ali Rowhani-Rahbar
Keyword(s):  
Suicide Prevention ◽  
Brief Intervention ◽  
Military Service ◽  
Community Intervention ◽  
Intervention Strategy ◽  
Elevated Risk ◽  
Community Based Interventions ◽  
Community Based ◽  
Safe Medication ◽  
Medication Storage

ObjectiveTo determine if a brief intervention, called Signpost, Assess, Facts, Emotion, Recommend (SAFER), designed to motivate changes in behaviour to secure firearms and medications to prevent future suicide is feasible to implement in community-based settings such as gun shows, acceptable to participants at higher risk for suicide including veterans and men in the middles years (35–64) and improves firearm and medication locking behaviours.Methods1175 people received SAFER over a 12-month period at 18 gun shows and community events in 2019 and completed a preassessment measuring firearms ownership, storage practices, knowledge about suicide as the leading type of firearm fatality and attitudes about suicide prevention. 372 responded to a brief postassessment using comparable measures.Results85% of participants reported keeping firearms at home. 43.7% reported current or prior military service. 53.2% were males between the ages of 35 and 64. Among those who responded to the postassessment, 61% of participants reported SAFER to be highly valuable. Safe firearms storage improved among participants who completed the preassessment and postassessment (51.2% pre, 66.0% post; p<0.01) as did safe medication storage (14.8% pre, 21.6% post; p=0.01). Knowledge that most firearm fatalities are suicides (33.4% pre, 45.8% post; p<0.01) also improved.ConclusionsIt is feasible, acceptable and effective to reach groups at elevated risk for suicide using a brief intervention strategy in unconventional settings. Community-based interventions to improve safe storage motivated by suicide prevention messaging should be prioritised because men in the middle years are less likely to use mental health services.

scholarly journals Psychoactive substance use in a sample of community outreach participants; prevalence, correlates and ease of incorporating care

2017 ◽  
Vol 5 (7) ◽  
pp. 2845
Author(s):  
Kingsley M. Okonoda ◽  
Gabriel N. Mwoltu ◽  
Olubukola O. Arigbede ◽  
Kenneth Yakubu
Keyword(s):  
Substance Abuse ◽  
Substance Use ◽  
Brief Intervention ◽  
Community Setting ◽  
Community Outreach ◽  
Research Area ◽  
Living Environment ◽  
Psychoactive Substance ◽  
Community Based ◽  
Cross Sectional

Background: The misuse of licit and illicit substances has continued to constitute a profound effect and harm across various societies. This study examined the nature of substance use, abuse and dependence in a community setting in Jos, Plateau State and the ease of carrying out screening, brief intervention and referral for substance use problems.Methods: Data for this study was gathered through a community-based medical outreach with a total of 1170 residence (M=36.97, SD=15.33), within the research area in participation. A cross-sectional research design was used to examine the prevalence and correlates of psychoactive substance consumption (excluding alcohol).Results: Analysis revealed that tobacco 51%, marijuana 22%, opioids 15%, sedatives 6%, and amphetamine 2%, were the current most significant substances used within the population. The ASSIST and MINI diagnostic criteria noted a significant rate of substance abuse and dependence (p<0.05) for tobacco, marijuana, amphetamine, inhalants, sedatives, hallucinogens, and opioid. Brief intervention based on the FRAMES techniques as employed in this study, was used in a total of 211 participants among whom 36 further received counseling for substance abuse and 60 were referred for specialized drug treatment therapy due to substance dependence. Gender, living environment, employment status and occupation were significant predictors of substance use across the participants. Specifically, male, participants who have stable accommodation, those with regular employment and students were found to be the group with the most significant rates of substance and substance use disorders.Conclusions: This study concludes among others, that the ASSIST, MINI and Brief Intervention were indeed effective for substance-related diagnosis in community-based medical programs and can be effectively incorporated into routine services with adequate planning, training and execution.

A gateway to healing: A community-based brief intervention for victims of violence

2018 ◽  
Vol 46 (4) ◽  
pp. 418-428 ◽  
Author(s):  
Nicole Trabold ◽  
Allison O'Malley ◽  
Lisa Rizzo ◽  
Elizabeth Russell
Keyword(s):  
Brief Intervention ◽  
Community Based ◽  
Victims Of Violence
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